Y4H-30771-64265 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal disorder — Feeling: Good

Free text: Stomach hasnt been feeling great the last few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 1
MedDRA: Hypertension, Office visit, Urinary tract infection — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: UTI and blood pressure up · Healthcare visit (other): Follow up with dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash over most by of my body. Went to minor med and got a shot and two prescriptions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash is still there but mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Broke out with itching on arms and a few other small areas Tuesday. Itis pretty much gone now. Just started taking medicine minor med had given me for itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: Continue to itch and whelps come up on my body from the reaction I had to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Unsuccessful
2021-04-24	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Stomach hasnt been feeling great the last few days

Release 7 — day 14, dose 1

2021-04-09

Symptoms: UTI and blood pressure up

Healthcare visit (other): Follow up with dr

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Rash over most by of my body. Went to minor med and got a shot and two prescriptions

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Rash is still there but mild

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Broke out with itching on arms and a few other small areas Tuesday. Itis pretty much gone now. Just started taking medicine minor med had given me for itching.

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Continue to itch and whelps come up on my body from the reaction I had to the vaccine

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Rash	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release